Revenue cycle management is a key component of the health care delivery system. It is the complex and evolving mechanism by which providers perpetuate their existence via reimbursement for services rendered.

The provider community in general is struggling with tighter budgets, increasing scrutiny by payer groups over billing and collection practices, new legislation, rapidly evolving technology, and payers’ changing rules. Dealing with rising uninsured and underinsured patients, shrinking reimbursements, and rising costs will amplify this challenge in future.

The providers are increasing outsourcing these services to specialized service providers. This is because:

	The expectations from the medical profession have changed in the last decade with young physicians demanding what is rightfully theirs.
	The medical professionals are in coalition to challenge the Payers might.

Datamatics Technologies, in association with its US based partners, provides Revenue Cycle Management Services to providers in the US. Our complete suite of services in the revenue cycle management arena include:

	Front end based - patient enrolment, insurance eligibility verification and authorizations and
	Back-end based medical coding, charge capture, payment posting, denial management, various aspects of reimbursement, including follow up with insurance companies on accounts receivables pertaining to commercial health insurances (BCBS, Aetna etc.) as well as Federal health insurance programs like Medicare, Medicaid etc.

The key benefits to providers by outsourcing these services:

	Substantially Reducing administrative costs
	Increasing collection levels
	Reducing claim denials and underpayments
	Increase regulatory and payer compliance with updated rules processor, to enable generating first-time clean claims
	Dramatically lowering percentage of aged receivables
	Enhance patient satisfaction by focusing on core care service
	Enhance compliance with HIPAA regulations